On completion of this chapter, the student will:
• Discuss the uses, general drug action, adverse reactions, contraindications, precautions, and interactions of the tetracyclines, macrolides, and lincosamides.
• Discuss important preadministration and ongoing assessment activities the nurse should perform on the patient taking a tetracycline, macrolide, or lincosamide.
• List some nursing diagnoses particular to a patient taking a tetracycline, macrolide, or lincosamide.
• Discuss ways to promote an optimal response to therapy, how to manage adverse reactions, and important points to keep in mind when educating patients about the use of a tetracycline, macrolide, or lincosamide.
This chapter discusses three groups of broad-spectrum antibiotics: the tetracyclines, the macrolides, and the lincosamides. Examples of the tetracyclines include doxycycline (Vibramycin), minocycline (Minocin), and tetracycline (Sumycin). Examples of the macrolides include azithromycin (Zithromax), clarithromycin (Biaxin), and erythromycin (E-Mycin). The lin-cosamides include clindamycin (Cleocin) and lin-comycin (Lincocin). The Summary Drug Table: Tetracyclines, Macrolides, and Lincosamides describes the types of broad-spectrum antibiotics discussed in this chapter.
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